NCG020503 DMR SW (2)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
I!- ' '' Ml' t_ T � YEN.TRIL:l �,�IIG'E* v - - i t
General Permit No. NCG020000
Calendar Year a01 (0
wi ^*Regio,,,g LL TO_RMINATERimontitor g a ion his form(i�rtclUde�'rN Flo 1,"NojDisrc a¢ e�a`ndaB�enchma� � F,
,,,, .,g_K etlan es+),from,t,,,,0 io•_useal gdarye`ar�t,fit oe-pihynMA„RCHrl�ofea h
_ CENT 'L FILEb
Certificate of Coverage No. `NCG02 ❑0 U❑O ® j`' DWR SECTION
Facility Name: C,I$E(tOK EF_ COONT �("ACM'?
County: GNERoKg•
Phone Number: (84SS )5a4-5455 Total no. of SDOs monitored 3
Certified Laboratory P ic,F Lab# 40
Lab#
Stormwater Discharge Outfall (SDO) No. / VMA Outfall? Yes ❑ No ✓[f
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [�
Was this outfall ever in Tier 2 during the past year? Yes ❑ No Zr
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVE()
Yes,enough consecutive samples below benchmarks to decrease frequency ❑ JAN 2 6 2017
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No,turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DWR SECTION
Upstream Downstream New
Outfall No. Total TSS, SS, Turbidity, (U)Turbidity, (D) Turbidity, Non-polar Motor Oil
Rainfall, mg/I mill NTU NTU NTU O&G, mgll Usage
—�— inches (VMA) (gallmo.)
c--`-z--- -- - r .Circle '” --- - — Circle'-'-- r-- — - -' ----, ---'- -- s>65,gallmo:
,SLormwafe/ In'dica'te NO I •.I'rchmark' ' Benchmarkk � N/A av'eragerequire`s
I I{ / '• WaterQuality;• y}VYaterQuailty ', 15. • Miss and Non-polar
Benc,iinare..s _applicable_ �: -02r�I I o_ Standard'applies. _ Staoilard applies: l' k-• ,-, I iO&G m'a`riitoring,
Date Sample
Collected, `h j _ .
- n�� { -.1`�; ,r,. �,7 ,t?.i; "{,,. :+ R ,i:;;� •r.l "� :1.,, ;S z.+l '3i - .i
molddlyr *„ .' t,t�s
,Ani /-C1 Ne Gt ow
I. I aLI-•fo 40. 1 3'.4 iv/A N/A N/A A//A
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 nnnn
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. o. VMA Outfall? Yes ❑ No d
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [/�
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [r
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No,turbidity benchmark exceedances did not require monthly monitoring ❑
Other El
Upstream Downstream New
Outfall No. Total TSS, SS, Turbidity, (U)Turbidity, (D)Turbidity, Non-polar Motor Oil
NTU NTU NTU O&G, mgll Usage
a Rainfall, mg/I ml/I
inches (VMA) (gal/mo.)
St01711We7fel Circle•' 1 '7CIrcle — _.
`IndicafeNO, 'B-chmark • ericlimark a _ , fN/At -c'N/�', ,- averagerequires,
tF�p;�T�1" , Vlfa'terQuatlty Water lc?
;TSS and None olar
i encliraiarks _ ,, �50;y 0a1 25%10 p
. _: appllcablo qStandard applle"s�'. Standard,applle's�_ i0e.moNtodng
��+; iv.� V',�;,a3 -<,K�•9:"- ,.'tt.;�•,x,'-�,r;�;t'nril3,ri: -'il'. 'ei a, iFn;ai�i, `ty:,`; v'�.,=�:�.�.Date �-2-i:r�,,�.,'.'lr.�:•-
Sample
Y.}:��,Yt.l�k i. •,1.% »'b�<y:�..�]t YY e, le- �f�. l—''�,�{ - _Y�S: {' S�-. � a�.':'t...���'� �f;� —f �r'� .�. ^yi ry
Collected, V>z.; -. ;
mo dd/y � , ,_.. _'� �. ;i,` , < - .. ,, ,,�r•• ��`I�� , ",_ir::, :~:r�}. . -:�„=YE- _- •:.. . , . .. : .
)AA//S'� NoPGow
/a/c,,/i6, 1. 1 al). l 4-0. 1 30.4- Ar r4 ,V/A iJ/A /v/A
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 1115_11]173—
Additional
5_ O❑173—Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No ✓r
Is this outfall currently in Tier 2 for any parameter? Yes El No Er
Was this outfall ever in Tier 2 during the past year? Yes El No d
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes,enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other ❑
Upstream Downstream New
Total TSS, SS, Turbidity, (U)Turbidity, (D) Turbidity, Non-polar Motor Oil
Outfall No. Rainfall, mgll minNTU NTU NTU O&G, mg/I Usage
3 inches (VMA) (gal/mo.)
717-r-,11914:"._:;
I�/A : 'a r -1 S a55gaiImoY_.
Sfor_`inwafer"� .1Tndfcate NO Benchmark Benchmark r ^NIA' 7- a"v_'erage rajahs 1
t' z ; aer;Quallt i - Vlleter Qua4t 'Tsg:Afd Non'ofirr
FLOWAe `100150` .��1! 'l 50/25/10 vl, , v, 1!5i i i.,'08G'monitadn`
8enchmarks_� _�P,,�aa,e� ', .t„=,_� - • � 1 _ _ :�, y�+'1,§tandard a",ppilesy f •���,i8tand_a�d a'p'pllesY _I g;y
.dh 77t`11`7v,:s� s :-r`;�i.v tf (+'��:c. 1 �-`a-.:w 1�T"��1-d�•7;;t;5g- rh: YG.; .<3r)t 'ai �-�4c�,.•+ y.:.t .f<;;;-Z
t�Jj � �.f. t} +}f Y:�•, `A. �t `L.�'S i"1 \ei r lY � tn.. ,�:A4 4„f9��� t'�,��±:�t�'.� �
-j1 �rC.{ Y, `` 9 (/_4'� ,�. ¢�j {.. J !e 1'w - r,'•r'1 -5�.:,e'•..n`
Date Sample =:k>.=.�t,}.':'C,'�SA' �t.,�,,r. u� ,� ..'�” i ''.'_-i�r�\i,rlyd 1,.� t �.,'`>}+tyi;,�+� Vpi/t .{n`., .i'�,a7';ii} i•t.
`int`"iii r_ ,��a:�=�3 .�-•3ri;: ,:�. "� n`:i�'•- g:, r�.- ic,� :C k.:N T-ds;'1 �•=r''-*zy = - 15,;, '�'-�,•.;.r - ;>>,�
Collected, `;qtr �� :�.�
-t,-
...Y-`, {!� •} ,htiy`'
;t; r"4". < 'nr;:•;4; :i t':. li•t,.c ;r =a;'''` _
mo/dd/yr
vY°. ,�t'r1S .K.f:,. .C.lra tt�� ^4, 3 Kr"j"'c •_f�r't ",C:.Ir`-'!.' r1'."•:� =1 :l`;;z.r. ^F�
JAM /c)A) AJOC ov}
'SQL-/DEC No lLov)
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 1-1117
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR§122.22)
Signature A11
Date i 61 i
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct-Central Files is housed in DWR(not DEMLR)
N.C. Department of Environmental Quality(DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
1,
Permit Date 1011/2015—9/30/2020
Last Revised 10-2-2015